UW3 (05 Derm) Flashcards
Acne Vulgaris (treatment)
Comedone? 4
Inflammatory? 3
Nodular / Cystic? 3
Topical Retinoid Salicylic Azelaic Glycolic
Topical Retinoid + Benzyl Peroxide
+ Topical Antibiotics
+ Oral antibiotics
Topical Retnoid + Benzyl Peroxide + Topical Antibiotics
+ Oral antibiotics
Oral Isotretinoin
Urticaria (treatment)
Acute < 6w? 3
Chronic > 6w? 5
1) H1 blocker
2) + H2 blocker
3) + Steroids
1) H1 blocker
2) ↑ H1 blocker
3) + H2 blocker
4) + Leukotrine inhibitor
5) + Steroids
Tinea pedis & Unguium (treatment)
For mild - type & meds? 3
For svere - type & meds? 3
Topical
Terbinafine
Miconazole
Clotrimazole
PO
Terbinafine
Itraconazole
Fluconazole
Erythema @ face
Flushing
Telangiectasia
Associated: Blepharitis Keratitis Conjunctivitis Corneal ulcer Chalazion
Diagnosis?
Treatment? 1+4+2
Rosacea
1) Avoid Trigger
2) Topical
• Metronidazole
• Azelaic acid
• Clindamycin
• Benzyl peroxide
3) PO
• Metronidazole
• Clindamycin
Pressure ulcer
Name 4 stages?
Debridment needed at what stage?
1) Intact skin
2) Shallow ulcer
3) Full thickness / SubCut
4) Bone / Tendon / Muscle
Debridement @ stage > 3
Rapid abdominal mass onset
Deep / IntraAbdominal
Painless / Painful
Diagnosis?
Treatment if stable?
Desmoid tumor
Observation
Painless blister
HyperTrichosis
HyperPigmentation
Diagnosed with porphyria cutanea
Association / Complication? 3
Trigger? 2
Management 4
Mechanism?
Hemochromatosis
Hep C
HCC
Alcohol
Estrogen
Avoid trigger
Phlebotomy
HydroxyChloroquine
Interferon A
UroPorphyrinogen Decarboxylase ↓
Keloid
Treatment? 2
Steroid injection @ Intra Lesion
Excisional surgery
Psoriasis (treatment)
- Mild / Moderate
- Severe
- Face / Intertrigo
- Guttate
1) Topical – Steroid / Vit D
2) UV / Methotrexate
3) Topical – Steroid / Tacrolimus
4) Observation / UV
Angioma (differential)
Dome / Bleed / Benign
Diagnosis?
Treatment? 2
Bright red / Central papule / Radiating vessel
Diagnosis?
Association? 2
Rapid growth @ early childhood
Diagnosis?
Typical course?
Treatment?
Cherry Angioma
Electro-Cauderize
Shave excision
Spider Angioma
Estrogen dependent
Cirrhosis
Infantile / Strawberry
Spontaneous remit 5-8y
Propranolol
Purple Plaque @ extensor
Pruritic
Polygonal
Violaceous
Diagnosis?
Association?
Diagnostic?
Lichen Planus
Hep C
Biopsy
Acne Vulgaris
Hormone therapy indication? 3
Agents? 2
Inflammatory
Pre-Menstrual
Face / Neck
Combined OCP
Spironolactone
Photoaging
Condition worse @ which risk factor?
Treatment?
Smoker
Isotreotonin top
Warts
Initial treatment? 2
Duration?
Salicylate
Cryotherapy
2-3w
Mollescum contagesium
Transmission?
Associated lab test?
Treatment? 3
Skin-Skin contact
HIV test
Curettage
Cryo removal
Podophyllotoxin
Varicella PEP
1) Immunity ⊕
2) No immunity
3) No immunity + Pregnancy / Immune ↓
4) Precaution @ Disseminated
5) Precaution @ local infection
1) History of varicella
Varicella vaccine x2
2) Vaccine within 5d
3) Vaccine / IVIG
4) Contact & Airborne
5) Contact & Cover up
Herpes Zoster
Duration & treatment?
- Acute?
- SubAcute?
- Post?
< 30d
NSAID
30d-4m
NSAID
> 4m
TCA
Gabapentin
PreGabalin
Tinea Versicolor
- Common occurrence season?
- Lab test?
- Treatment? 4
- Spring / Summer
- KOH = yeast / hyphae
- Topical –> PO
Selenium
Clotrimazole
Terbinafine
Ketoconazole
Skin SCC
Treatment? 5
Excision C&E Cryo PhotoDynamic Radiation
Actinic Keratosis
Treatment? 3
Biopsy indication? 6
5FU
Imiquimod
Cryotherapy
1cm diameter Induration Ulceration Tenderness Rapid growth Failed therapy
Hidradenitis Suppurativa
(treatment)
General? 4
Mild? 2
Moderate? 2
Severe? 3
Weight
Smoke
Clean
Wash
Clindamycin top
Metformin
Tetracycline PO
Clindamycin + Rifampin
Acitretin
Infliximab
Excision
Skin Plaque Greasey Scale Pruritic Erythema
Diagnosis?
Association/ Risk? 2
Treatment? 4
Seborrheic Dermatitis
CNS disease
Parkinson
HIV
topical (q1-2w) Selenium Ketoconazole Steroids CIN / Pimecrolimus
Impetigo
Common microbe? 2
Treatment? 2
Complication? 1
S. Aureus
S. Pyogenes
Mupirocin top
Cephalexin PO
GlomeruloNephritis
Tinea Capatis
Treatment? 2
Griseofulvin PO
Terbinafine PO
Dermatology disease association:
- Acanthosis Nigricans (2)
- Skin tag / AcroChordons (3)
- Porphyria Cutanea / CryoGlobulinemia
- Dermatitis Herpatiformis
- Psoriasis (sudden / severe) / Herpes Zoster (recurrent) / Mollescum (disseminated)
- Seborrheic dermatitis (severe) 2
- Seborrheic keratosis
- Pyoderma Gangronosum
- Insulin resistance / GI malignancy
- Insulin resistance / Pregnancy / Crohn’s
- Hep C
- Celiac
- HIV
- HIV / Parkinson
- GI malignancy
- IBD
Bullous Disease (differential)
Tense Bullae / Itchy / Erythema / Urticaria
Flaccid Bullae / Oral lesion
Severe itch / Crust+Vesicle / Celiac
Grouped / Linear or Annular
Bullous Pemphigoid
Pemphigus Vulgaris
Dermatitis Herpetiformis
Linear IgA
Hair = black & curly
Hyperpigmentation
Infection
Keloid
Diagnosis?
Mechanism?
Treatment?
Pesudo Folliculitis Barbae
Hair shaft penetration
Stop shaving
Keratosis Pilaris
Treatment? 2
Topical
Salicylate
Urea
Hemangioma
Diagnostic modality # > 5? Face / Segmental? CervicalFacial? LumboSacral?
High risk indication? 6
Treatment? 2
US liver
Echo / MRI head
Laryngoscope
US spine
Large Face / PeriOrbital Subglottic Segmental Rapid growth Hepatic
Observation
Propranolol @ high risk
